Tips on Effective Utilization of Modifiers for Eye Care with Examples

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Review of Most Common Procedure and E&M Codes that Uses Modifiers

The primary purpose of modifiers is to denote circumstances which affect the performance of a procedure or service. They are also used to provide supportive information, such as a second surgical opinion provided at the request of a professional review organization.

However, modifier usage at times can get complicated. For example, if a physician performs a procedure bilaterally, and the procedure is listed in CPT® as unilateral, a normally simple procedure becomes unusually complicated just because the patient suffers from diabetes.

Whether you are new to modifiers or a twenty-year veteran, join Eye Care coding expert Jeffrey Restuccio,CPC, COC, MBA,for a tour of the most common modifiers with specific Eye Care examples. There will be step by step discussion and presentations specific to Eye Care. In just 60-minute, you will get tips to save your practice time and any potential lost revenue due to missed codes, code changes, or new documentation requirements.

Session Highlights:

Most common procedure and E&M codes that used modifiers

The difference between getting paid and being compliant

Hierarchy of official sources

Appealing denials due to wrong modifiers

If Medicare guidelines don’t agree with AMA CPT® guidelines, who do you go with?

Jeffrey Restuccio, CPC, COC, MBA, is a certified coding instructor specializing in Eyecare coding, billing and documentation. Jeff has over twenty five years of experience and since 2007 has conducted over 365 live seminars, nationwide specifically for Eyecare. Jeff has personally audited over 10,000 medical records and presents nationally on auditing and documentation issues. Through the www.eyecodingforum.com website, Jeff offers coding and billing training, audits and a...
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